Healthcare Provider Details

I. General information

NPI: 1285299859
Provider Name (Legal Business Name): JENNY DELORME LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2019
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1167 MANTUA PIKE STE 2
WEST DEPTFORD NJ
08051-1649
US

IV. Provider business mailing address

1167 MANTUA PIKE STE 2
WEST DEPTFORD NJ
08051-1649
US

V. Phone/Fax

Practice location:
  • Phone: 908-392-8768
  • Fax:
Mailing address:
  • Phone: 908-392-8768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00582800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: